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{"DID":"crit11bb5d","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"08-28-2024 09:45","End Date":"09-02-2024 17:30","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed Monday, September 2, 2024, in observance of Labor Day.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit34dea1","Sites":"JJA^JJB^JMA^JMB^JMHHH^Railroad Medicare","Start Date":"07-22-2024 08:25","End Date":"07-22-2024 08:30","Content":"Web chat is unavailable due to a system outage. We are working to resolve the issue and will remove this banner once the system is available.","URL":"","Target":"_self","Color":"red","Mode":"Standard\n","Priority":"yes"}, {"DID":"crit44d12e","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"10-23-2024 10:46","End Date":"10-25-2024 17:35","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed for an eight-hour training on Friday, October 25, 2024, for staff training. Please note that the webchat feature will be unavailable at this time.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit4b35ae","Sites":"JJB^JMB","Start Date":"07-26-2024 12:01","End Date":"07-30-2024 23:59","Content":"If you missed our Spring Tour, join us in Columbia, S.C. on July 30, to catch up on the most recent provider education from Palmetto GBA.","URL":"https://web.cvent.com/event/93f37ecc-9d69-4a33-b62b-cbd6232d9aff/summary","Target":"_blank","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit4e5c4e","Sites":"JJA^JMA^JMB^JMHHH^JJB","Start Date":"06-14-2024 14:06","End Date":"06-20-2024 06:07","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed Wednesday, June 19, 2024, in observance of the Juneteenth holiday. Please note that the chat feature will not be available when the PCC is closed.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"yes"}, {"DID":"crit5ab3ce","Sites":"JJB","Start Date":"05-28-2024 00:00","End Date":"05-28-2024 23:27","Content":"Medicare Part B providers are invited to Palmetto GBA's MayFest virtual education event Thursday, May 30, 2024.","URL":"https://palmettogba.com/palmetto/jjb.nsf/DIDC/8DRB9MA2C9~Events%20and%20Education","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit5b152d","Sites":"JJA^JJB^JMA^JMB^Railroad Medicare","Start Date":"09-02-2024 18:00","End Date":"09-22-2024 08:36","Content":"Registration is open for the 2024 MACtoberfest education event in Columbia, S.C. Please plan to attend.","URL":"https://web.cvent.com/event/4c4a964e-0c1a-45a8-a4d4-9d8ead85dc11/summary","Target":"_blank","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit5b243c","Sites":"JJB","Start Date":"02-16-2024 13:05","End Date":"02-29-2024 08:18","Content":"Have a Medicare question and want to chat with a rep? JJ providers are invited to join us on webchat. Just select the green Chat Now button on the bottom right corner of screen! ","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit5ee5b3","Sites":"JJB","Start Date":"10-14-2024 08:08","End Date":"10-16-2024 18:00","Content":"Due to an unexpected delay in system cycle processing, payments to Part B providers dated October 15, 2024, may be delayed by no more than one day. We apologize for any inconvenience this may cause.","URL":"","Target":"_self","Color":"yellow","Mode":"Standard\n","Priority":"no"}, {"DID":"crita3c1db","Sites":"JJB","Start Date":"10-28-2024 13:15","End Date":"11-12-2024 13:15","Content":"Registration is now open for the Autumn Run Education Tour.","URL":"/palmetto/jjb.nsf/DID/7CNDSGJ7KX","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crita42d51","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"08-31-2023 15:00","End Date":"09-04-2023 17:00","Content":"The Palmetto GBA Provider Contact Center (PCC) will be closed Monday, September 4, 2023, in observance of Labor Day.","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critaeb5ae","Sites":"JJB","Start Date":"03-11-2024 10:47","End Date":"04-18-2024 09:47","Content":"Join us for Spring Tour 2024: Columbia, S.C. on April 2, 2024, Bessemer, Ala. on April 8, 2024, Cleveland, Tenn. on April 10, 2024, Decatur, Ga. on April 11, 2024, Charleston, W. Va. on April 16, 2024, and Richmond, Va. on April 18, 2024. ","URL":"https://palmettogba.com/palmetto/jjb.nsf/DID/SY9IONT0ZJ","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critb22ced","Sites":"JJB","Start Date":"10-22-2024 13:34","End Date":"10-22-2024 14:15","Content":"Palmetto GBA is currently experiencing longer than normal Medicare enrollment application processing times. We are actively working to return to our standard processing times, and we regret any inconvenience this may cause. To monitor the progress of your application, please use the Enrollment Application Status Lookup tool on our website. Thank you for your understanding and patience.","URL":"https://www.palmettogba.com/internet/PCIDN.nsf/R?OpenAgent&DID=BBHQEN88&url=yes","Target":"_self","Color":"yellow","Mode":"Standard\n","Priority":"no"}, {"DID":"critb5d1bb","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"09-25-2024 12:55","End Date":"10-04-2024 17:00","Content":"Due to Hurricane Helene, the Provider Contact Center may experience longer than usual wait times.","URL":"","Target":"_self","Color":"yellow","Mode":"Standard\n","Priority":"yes"}, {"DID":"critba251d","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"06-25-2024 15:12","End Date":"07-04-2024 22:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed Thursday, July 4, 2024, in observance of Independence Day.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critbc45da","Sites":"JJA^JJB^JMA^JMB","Start Date":"08-21-2024 10:45","End Date":"08-23-2024 12:05","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, August 23, 2024, for staff training. Please note that the webchat feature will be unavailable at this time.","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critcd1cce","Sites":"JJA^JJB^JMA^JMB^JMHHH^Railroad Medicare","Start Date":"09-16-2024 10:40","End Date":"09-16-2024 12:00","Content":"The eServices portal is currently unavailable. We are working to resolve the issue and will remove this banner once the portal is available.","URL":"","Target":"_self","Color":"red","Mode":"Standard\n","Priority":"no"}, {"DID":"critcd5b1b","Sites":"JJA^JJB^JMA^JMB^JMHHH^Railroad Medicare","Start Date":"09-16-2024 12:17","End Date":"09-16-2024 14:00","Content":"Currently, the eServices portal is intermittently unavailable. We are working to resolve the issue and will remove this banner once functionality is restored.","URL":"","Target":"_self","Color":"red","Mode":"Standard\n","Priority":"yes"}, {"DID":"critdc3d32","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"05-23-2024 00:00","End Date":"05-27-2024 23:00","Content":"The Palmetto GBA Provider Contact Center (PCC) will be closed Monday, May 27, 2024, in observance of Memorial Day.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critee34e3","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"08-07-2024 09:00","End Date":"08-09-2024 12:30","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, August 9, 2024, for staff training. Please note that the webchat feature will be unavailable at this time.","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"criteeae4b","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"09-10-2024 13:06","End Date":"09-13-2024 13:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, September 13, 2024, for staff training. Please note that the webchat feature will be unavailable at this time.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"yes"}

Pricing Updates for Home Sleep Study

Published 09/07/2021

Palmetto GBA completed a fee review for codes G0398, G0399 and G0400 under the Jurisdiction J contract — Pricing Updates for Home Sleep Study (HST). The fee is being changed effective dates of service October 1, 2021.

CPT Code G0398

HCPCS Code/ Modifier	State	Carrier	Locality	Fee Effective 10/01/21
G0398	AL	10112	00	$154.59
G0398 TC	AL	10112	00	$114.04
G0398 26	AL	10112	00	$40.55
G0398	GA	10212	01	$169.83
G0398 TC	GA	10212	01	$128.12
G0398 26	GA	10212	01	$41.72
G0398	GA	10212	99	$153.17
G0398 TC	GA	10212	99	$112.75
G0398 26	GA	10212	99	$40.42
G0398	TN	10312	35	$154.39
G0398 TC	TN	10312	35	$114.40
G0398 26	TN	10312	35	$39.99

CPT Code G0399

HCPCS Code/ Modifier	State	Carrier	Locality	Fee Effective 10/01/21
G0399	AL	10112	00	$94.80
G0399 TC	AL	10112	00	$50.84
G0399 26	AL	10112	00	$43.96
G0399	GA	10212	01	$102.25
G0399 TC	GA	10212	01	$57.04
G0399 26	GA	10212	01	$45.20
G0399	GA	10212	99	$94.08
G0399 TC	GA	10212	99	$50.26
G0399 26	GA	10212	99	$43.82
G0399	TN	10312	35	$94.17
G0399 TC	TN	10312	35	$50.77
G0399 26	TN	10312	35	$43.41

CPT Code G0400

HCPCS Code/ Modifier	State	Carrier	Locality	Fee Effective 10/01/21
G0400	AL	10112	00	$84.56
G0400 TC	AL	10112	00	$44.01
G0400 26	AL	10112	00	$40.55
G0400	GA	10212	01	$91.13
G0400 TC	GA	10212	01	$49.42
G0400 26	GA	10212	01	$41.72
G0400	GA	10212	99	$83.93
G0400 TC	GA	10212	99	$43.51
G0400 26	GA	10212	99	$40.42
G0400	TN	10312	35	$84.05
G0400 TC	TN	10312	35	$44.06
G0400 26	TN	10312	35	$39.99

Inclusion or exclusion of a fee schedule amount for an item or service does not imply any health insurance coverage.

Note: CPT codes and modifiers begin with a numeric character and HCPCS codes and modifiers being with an alpha character.

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